Individual
LISA ANN STOCKDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1000 QUAIL ST STE 260, NEWPORT BEACH, CA 92660-2784
(949) 357-0436
Mailing address
205 SEACOUNTRY LN, RCHO STA MARG, CA 92688-5564
(805) 345-1555
(805) 345-1555
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY25030
CA
Other
Enumeration date
01/31/2007
Last updated
02/09/2023
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